Email Address*

Name of Child*

Name of Parent*

Centre*
Monday - HR1 1EX Pegasus JuniorsFriday - South Bromsgrove High School

If Monday - Starting Date 29th June
Girls - Red Bubble 4pm - 4:50pm Max 10 spaces £6 per sessionGoalkeepers - Orange 4:30pm - 5:20pm Max 10 Spaces £6 per sessionSchool Years 3 and Year 4 Yellow and Green Bubbles PPC - 5pm - 5:50pm Max 20 Spaces £6 per sessionPPC Year 7 + - Orange Bubble 5-30pm - 6:20pm - Max 10 Spaces £6 per sessionSchool Years 5 and 6 - 6pm - 6:50pm - Red and Blue Bubbles - Max 10 Spaces £6 per session

If Friday - Start Date 26th June
Goalkeeping Under 11s - 5pm 5:45 - Red bubble - Max 5 players - £5PACES Play School Years 1- 3 5pm- 5:45 - Blue Bubble - Max 5 players - £5Goalkeeping 12s+ - 6pm 6:45 - Red bubble - Max 5 players - £5PACES Play school years 4+ 6pm- 6:45 - Blue Bubble - Max 5 players - £5

I Agree to all terms and conditions set out via PACES Covid 19 Return to Football Guidance*
YesNo

I give consent for PACES Staff to administer emergency first aid, as set out in PACES Covid 19 Return to Football Guidance*
YesNo